Active NPI
James Darryl Gutzman, PA-C, RN, FNP
- Physician Assistant
- Lake Isabella, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 18373
- Practice address
- 6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726 - Phone
- (760) 379-8630
- NPI assigned
- Sep 21, 2006
- Last updated
- Sep 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 18373 | CA | Primary |
| Registered Nurse | 163W00000X | 475773 | CA | |
| Nurse Practitioner | 363L00000X | 16243 | CA |
Addresses
Primary practice location
6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Mailing address
6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Phone (760) 379-8630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Stanford University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Phone (760) 379-8630
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 475773 | CA | MD | Registered Nurse |
| 18373 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Kern Valley Healthcare District | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/kernvh-26e64ef3
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sienna Wellness Institute
- Internal Medicine Physician
- Lake Isabella, CA
- NPI 1174684583
-
dba Bakersfield Memorial Hospital Pharmacy
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Critical Access Hospital
- Lake Isabella, CA
- NPI 1427049964
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Compassionate Care Home Health Agency, LLC
- Home Health Agency
- Fresno, CA
- NPI 1609826387
-
- Critical Access Hospital
- Lake Isabella, CA
- NPI 1427049964
-
dba Around the Clock Home Care
- Home Health Agency
- Bakersfield, CA
- NPI 1922091107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1295834844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 LYNCH CANYON DR",
"city": "LAKE ISABELLA",
"state": "CA",
"postal_code": "932409726",
"telephone_number": "760-379-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 LYNCH CANYON DR",
"city": "LAKE ISABELLA",
"state": "CA",
"postal_code": "932409726",
"telephone_number": "760-379-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTZMAN",
"first_name": "JAMES",
"middle_name": "DARRYL",
"name_prefix": "Mr.",
"credential": "PA-C, RN, FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "18373",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "475773",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "16243",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Isabella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.